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NPI Code Detail

MEDICARE: METRO PAIN MD PC

MEDICARE: METRO PAIN MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1598638280
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO PAIN MD PC
Provider Business Mailing Address
First Line : 213 CLEVELAND AVE
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1803
Country : US
Telephone Number : 973-449-9854
Fax Number : 908-888-0248
Provider Business Practice Location Address
First Line : 213 CLEVELAND AVE
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1803
Country : US
Telephone Number : 973-449-9854
Fax Number : 908-888-0248
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTOPHER KIM
Credential : MD
Telephone Number : 973-449-9854
Provider Enumeration Date : 09/29/2025
Last Update Date : 09/29/2025

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